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 Report - Activity Report (UMCOR)

 Report date: 30.11.1997

I. INTRODUCTION

UMCOR/Azerbaijan is involved in programs of humanitarian assistance and capacity building activities to internally displaced people (IDPs) and refugees in the Republic of Azerbaijan. UMCOR initiated activities in Azerbaijan in March 1996, and presently has a project portfolio of four programs supported by three donors.

II. CURRENT PROGRAMS

1. Department of State Emergency Medical Assistance Project/UMCOR Clinics

This program provides free medical assistance to the vulnerable layer of the population, refugees and Internally Displaced People (IDPs) inhabiting in the territory of Nasimi, Binagadi, Azizbekov, Sabunchi, Surakhani, Karadag and Yasamal districts of the city of Baku and the Absheron region. UMCOR/Azerbaijan manages nine medical teams consisting of a physician, pediatrician, and medicine dispenser. Each of these teams has base clinics in or adjacent to IDP public building settlements. To increase access to health services among the refugee/IDP population in the greater Absheron region, UMCOR/Azerbaijan instituted a rotating system of regular site visits to settlements using the same medical personnel.

The location of UMCOR clinics, and the number of the refugees/IDPs inhabiting these settlements and administrative districts, are provided in Table #1. This table also includes the number of consultations performed during the 4th quarter.

Table #1

Team

Location

District

Refugees

IDPs

# of Consultations in October- November- December 1997

#1

Hospital #26Azizbekov

1,736

10,867

2,352

#2

Polyclinic #31Surakchan

6,519

10,390

2,901

#3

Polyclinic #10Binagadi

14,947

18,570

2,459

#4

Children's Infectious Hospital #5 (Polyclinic Department)Sabunchi

8,320

14,138

2,829

#5*

Hospital #28Sabunchi

8,320

14,138

427

#6

Hospital #19Karadag

2,400

8,056

2,079

#7

Children's Infectious HospitalAbsheron

3,792

7,.660

2,941

#8

Hospital #16Nasimi

14,476

9,890

3,305

#9*

Children's Polyclinic #13Yasamal

1,238

11,019

405

Total in 8 target districts: 53,428 90,590 19,698

Total: 144,018

*In the middle of October, these two teams (Yasamal and Sabunchi Districts) were transferred to UMCOR’s new USAID-funded project (Integrated Primary Health Care Project).

During this 3 month period, 19,698visits to UMCOR clinics were registered (DOS program, city of Baku, the Absheron Region).76.8% (15,144) of this total were registered as repeat visits.

The list of the visiting sites is provided in Table #2 on below.

Table #2

Team

Visiting site

District

#4

Gizil Gum Sanitarium, Pirshaga settlement
Gilavar Sanitarium, Pirshagi settlement
Sabunchi
Sabunchi

#5

Khazar Sanitarium, Buzovna settlement
Zagulba Sanitarium, Zagulba settlement
Chayka Pioneer Camp, Bilge settlement
Azizbekov
Azizbekov
Sabunchi

#6

Mushvigabad settlement
Gizildash settlement
Sahil settlement
Sangachal settlement
Karadag
Karadag
Karadag
Karadag

#7

Mehtiabad settlement
Jeyranabatan settlement
Pirikishkul settlement
Absheron
Absheron
Absheron

Four training sessions were conducted for UMCOR Doctors during the 4th Quarter: Cardialgia, Congenital Heart Disease, Arrhythmia and Family Planning and Contraceptive Methods. Systematic inspection visits of the Medical Coordinator and Monitors were performed at different UMCOR clinics.

Books and journals received during the last airlift were delivered from the warehouse to the UMCOR Project Office. A Medical Library at the UMCOR Project Office has been created for use by UMCOR medical staff. Some of the books and journals were delivered to MSF-Belgium, MSF-Holland, Relief International and the International Federation of the Red Cross.

A new self-study training system was developing by UMCOR’s Medical Coordinator, Dr. Malik Abbasov, during the month of November. UMCOR Doctors provided feedback concerning the system in December. The new system will be implemented by 1 January 1998. The methodology employed by new system will have UMCOR medical doctors tested at least once a month, and enable UMCOR to maintain a high level in the quality of medical services provided to project beneficiaries

Vulnerable Support Program

Within the framework of the DOS program, seven UMCOR dispensaries provide patients of selected children and adult medical-preventive institutions in the city of Baku with pharmaceuticals and medical supplies. In accordance with Section 907 of the Freedom Support Act, UMCOR/Azerbaijan secures and controls the storage and distribution of pharmaceuticals. UMCOR provides selected Ministry of Health resident health professionals with regularly updated lists of medicines available for their patients, and information on their proper usage.

The Distribution of medicines among patients of the governmental medical-preventive institutions is carried out using UMCOR-designed Prescription Forms. These Prescription Forms are the basis for tracking distributions and quality assurance of prescription protocol. Using this information, UMCOR monitored data for the period of 1 October through 31 December 1997.

In November all UMCOR Drug Dispensaries initiated a new schedule. The dispensaries are now open eight hours a day, five days a week. Previously these facilities were open four hours a day, five days a week.

A list of all the UMCOR dispensaries and relevant medical institutions is provided in Table #3 on the following page. Physicians refer patients from these selected health institutions to UMCOR dispensaries for their pharmaceutical needs.

Table #3

UMCOR Dispensary
Location
Institution
#1
Children's Hospital #6
Children's Hospital #6
Cardialogical Center
Hospital #5
Children's Infectious Hospital #7
Children's Polyclinic #6
Children's Polyclinic #7
Children's Polyclinic #14
#2
Children's Hospital #2
Children's Hospital #2
Hospital #1
Emergency Hospital
Ophthalmologic Hospital
Children's Polyclinic #1
Children's Polyclinic #3
#3
Republican Family Health Center
Republican Family Health Center
Republican Hospital
Children's Polyclinic #12
Republican Urological Hospital
Ch. Psycho-Neurological Clinic #2
#4*
Hospital #16
Students' Polyclinic #2
Insane Hospital #2
#5*
Children's Polyclinic #13
Children's Polyclinic #13
#6*
Polyclinic #31
Polyclinic #31
#7*
Children Polyclinic (Bakikchanov settlement)
Children Infectious Hospital #5

* - UMCOR Dispensary address coincides with the UMCOR primary health care clinic

UMCOR is continuing to assist the Azerbaijan Charity Society HAVVA, a registered local charity/NGO, in providing medical services to underprivileged families. This organization supports vulnerable residents with basic primary health care and medical screenings. HAVA medical personnel is trained, monitored and supported by UMCOR/Azerbaijan. Patients seen by HAVVA medical staff are subject to the same internal controls regarding distribution as UMCOR/Azerbaijan clinic operations, and are tracked on UMCOR health cards to record their medical history and promote a doctor/clinic-patient relationship.

Through The Association of Parents of the Children with Talassemia, UMCOR/Azerbaijan supports children with talassemia with basic pharmaceuticals and supplies. The Association is a registered local NGO, supported by and based in the Hematological Institute of Baku. UMCOR dispensaries provide all glaucoma patients residing in the city of Baku with the preparation of Timolol Maleate. The medication is distributed in accordance with the prescriptions of ophthalmologists tracked, and controlled by UMCOR/Azerbaijan medical monitors.

UMCOR has ended their support of the Diabetes Health Center at the Azerbaijan Republic Society of the Disabled; a registered local NGO. UMCOR had provided the center with the inputs specified under the agreement signed with them. Presently UMCOR is providing insulin syringes for use by children residing in Baku with Diabetes through one of our drug dispensaries. The list of children with diabetes was provided to UMCOR by the Head Doctor of the Endocrinology Dispensary of Baku.

2. USAID/SCF Primary Health Care Support/7 ECHO Camps; Health Education Project, Baku/Absheron Region

Six UMCOR/Azerbaijan medicine dispensaries provide free medicaments to the patients of six medical points. These points serve seven ECHO camps situated in Imishli, Sabirabad, Saatli, Agdjabedi and Fizuli regions. In Table #4, the location of UMCOR dispensaries and locations of the camps are provided.

Table #4

UMCOR Dispensary
Region
Location of the ECHO-camp
IDPs
#1
Imishli
Yeni Bahramtapa (1)
Yeni Bahramtapa (2)
2,800
1,100
#2
Sabirabad
Ahtachi
2,311
#3
Sabirabad
Shahriyar
2,069
#4
Saatli
Alisoltanli
2,145
#5
Fizuli
 

 

2,650
#6
Agdjabedi
 

 

2,000

The medical points also serve the surrounding IDP communities, which increases the number of beneficiaries by approximately an additional 5,000 people.

All UMCOR dispensers working in the camps are IDP camp residents who have professional medical backgrounds. Over 50% of these physicians are IDP camp residents, and all of them received training from UMCOR and also from MSF Belgium prior to UMCOR assuming operational support.

The personnel of the Camp's Medical Points, who are monitored and supported by UMCOR/Azerbaijan, are able to provide IDPs living in the camps with basic primary health care and medical screenings. Patients seen by medical point doctors are subject to the internal controls regarding distributions as UMCOR clinic operations. Patients seen by medical staff are tracked on Health Cards to record their medical history and promote a doctor/clinic-patient relationship.

During the 4th quarter, UMCOR’s Assistant Medical Coordinator conducted a training seminar on Diagnostics of Respiratory and Cardiovascular Diseases and Respiratory Tract Infections for UMCOR field medical staff and the doctors at the medical points supported by UMCOR.

Public Health Education Program

Currently, UMCOR/Azerbaijan’s Public Health Education Program is targeting close to 5,000 IDP families living in 76 settlements located throughout Baku and the Absheron region. The Public Health Education Program is delivered at two levels: 1) training of the Community Health Workers conducted at UMCOR's Public Health Information Resource Centers; and 2) training of the IDP women at the Women's Groups held at the settlements (public buildings). The activities with the Women's Groups are conducted by the Community Health Workers (CHWs), and are supervised by the Health Education Specialists. An average of 77% of all the women living in the settlements UMCOR has targeted have been participating in the Women's Groups.

During the 4th quarter, the Public Health Education Program covered the following topics: Pregnancy - Part three: Special Care Pregnancies, Worms and Other Intestinal Parasites, Scabies and Other Skin Problems, Sexually Transmitted Diseases and AIDS and Childhood Immunization. A review of the Family Planning lessons was also conducted. A comprehensive test was prepared covering all the topics conducted during the past three months. This test was administered to the CHWs to evaluated their level of retention. The results of this test indicated that 89% of the questions were answered correctly by the CHWs. A training session was scheduled to discuss the test results and to review the previous lesson plans.

Information pertaining to the location of where training is delivered to the Women’s Groups, and the number of participants for each lesson plan is provided below.

Date: October 3 - October 16   
Lesson 11: Special Care Pregnancy (Part III)
Settlement
# of Women
# of Women Participated
%
Darnagul
784
600
77%
Gunashli
642
482
75%
Bakikhanov
902
708
78%
Oil Academy
996
820
82%
Lokbatan
866
626
72%
Bilgah
1,010
826
82%
Khirdalan
511
385
75%
Mardakan
1,067
867
81%
Total:
6,778
5,314
78%

 

Date: October 17 - October 30   
Lesson 12: Worms & Other Intestinal Parasites
Settlement
# of Women
# of Women Participated
%
Darnagul
776
590
76%
Gunashli
631
478
76%
Bakikhanov
906
676
75%
Oil Academy
996
753
76%
Lokbatan
866
556
64%
Bilgah
1,010
819
81%
Khirdalan
511
385
75%
Mardakan
1,037
798
77%
Total:
6,733
5,055
75%
    
Date: October 31 - November 13   
Lesson 13: Scabies & Other Skin Diseases
Settlement
# of Women
# of Women Participated
%
Darnagul
776
587
76%
Gunashli
631
467
74%
Bakikhanov
906
712
79%
Oil Academy
996
760
76%
Lokbatan
866
639
74%
Bilgah
1,010
869
86%
Khirdalan
511
424
83%
Mardakan
1,037
721
70%
Total:
6,733
5,179
77%
Date: November 14 - November 27   
Lesson 14: Sexually Transmitted Diseases
Settlement
# of Women
# of Women Participated
%
Darnagul
776
628
81%
Gunashli
631
494
78%
Bakikhanov
906
703
78%
Oil Academy
996
826
83%
Lokbatan
866
751
87%
Bilgah
1,010
799
79%
Khirdalan
511
397
78%
Mardakan
1,037
609
59%
Total:
6,733
5,207
77%
    
Date: November 28 - December 11   
Lesson 15: Review of the Reproductive Health Lesson Plan
Settlement
# of Women
# of Women Participated
%
Darnagul
776
592
76%
Gunashli
631
480
76%
Bakikhanov
906
706
78%
Oil Academy
996
837
84%
Lokbatan
866
671
77%
Bilgah
1,010
816
81%
Khirdalan
511
338
66%
Mardakan
1,037
780
75%
Total:
6,733
5,220
78%
Date: December 12 - December 26   
Lesson 16: Childhood Immunization
Settlement
# of Women
# of Women Participated
%
Darnagul
776
590
76%
Gunashli
631
478
76%
Bakikhanov
906
700
77%
Oil Academy
996
859
86%
Lokbatan
866
645
74%
Bilgah
1,010
808
80%
Khirdalan
511
395
77%
Mardakan
1,037
852
82%
Total:
6,733
5,327
79%

3. UNHCR Reproductive Health Project

Three UMCOR gynecologists and three midwives rotate throughout the UMCOR clinic system on a set schedule. This medical staff provides gynecological consultations and services to refugees/IDPs living in the targeted areas in the city of Baku, and the Absheron region. During the 4th quarter, UMCOR Gynecologists performed 3,324 consultations with IDP women. The gynecological services also include the following; the provision of contraceptive pills, insertion of IUDs, and administration of Depoprovera. 1,163 women were provided with contraceptive materials. Women seen by UMCOR gynecologists are also provided with micronutrient supplements.

The list of the gynecologists working sites and schedule of their site visits is provided in Table #5 below:

Table #5

Gynecologist
UMCOR Clinic
Location
Days
Site #1
#6
#6
#4
Garadag District, Lokbatan,
Women Consulting Clinic
at Maternity House # 4
Garadag District, Sahil,
City Hospital # 23
Sabunchi District, Sabunchi,
Polyclinic # 12
Monday Thursday
Friday
Tuesday Wednesday
Site #2
#3
#8
#2
#2
Binagadi District, Microregion #8,
Polyclinic # 10
Nassimi District,
Women Consulting Clinic #6
Surakhani District, Yeni Gunashli, Polyclinic # 31
Surakhani District, Hovsan Polyclinic # 23
Monday Tuesday
Wednesday
Thursday
Friday
Site #3
#1
# 7
#4
#1
#5
Azizbeyov District, Mardakan ,
City Hospital # 26
Absheron District, Khirdalan,
Central Polyclinic
Sabunchi District, Gizil Goum Sanitarium
Azizbeyov District, Shuvelyan,
Mashinastroitel Sanitarium
Azizbeyov District, Buzovna,
Khazar Sanitarium
Thursday
Tuesday
Monday
Wednesday
Friday

A referral system has been developed in order for UMCOR gynecologists to refer those women with complicated reproductive health problems to appropriate health facilities. During the 4th quarter, 116 cases were referred to the state health facilities for treatment and diagnosis.

The list of the UMCOR dispensaries and relevant maternal institutions is provided in Table #6 below:

Table #6

UMCOR Dispensary/Clinic

Location

Institution

Clinic # 6

Lokbatan, Hospital # 19

WCC of Maternity Hospital #4

Clinic # 1

Mardakan, Hospital # 26WCC of Hospital # 26

Clinic # 7

Khirdalan, Central Children's Infectious PolyclinicWCC of Central Polyclinic

Dispensary # 3

Family Health Centre
WCC # 2
WCC # 1

Dispensary #6

Yeni Gunashli, Polyclinic # 31WCC of Maternity Hospital #3

Dispensary # 4

Hospital # 16WCC # 6

During the month of December, various equipment was delivered to state medical facilities. Included were hospital beds, examination tables hysteroscopes and laparoscopes. Medicines were distributed on a regular basis to patients of Women Consulting Clinics #2, #4, #6 in Baku.

A schedule for providing training sessions for state gynecologists and midwives in Baku was negotiated with the Head Doctors, and preparations were made. Training sessions on Family Planning and Contraceptive Methods were conducted by UMCOR’s Technical Advisor for the following groups: 35 Gynecologists of Women’s Consulting Clinic #2; 11 Gynecologists and 4 Midwives of Women’s Consulting Clinic #4; 18 Gynecologists of Maternity #4, the medical staff of the accompanying Women’s Consulting Clinic, and 30 Gynecologists of Maternity #1 and Women’s Consulting Clinic #6. This training session was also conducted for 36 UMCOR Medical Doctors and 8 Health Education Specialists.

A pamphlet on Family Planning was developed during the month of October. A final draft of this Pamphlet was field tested among a sample of 20 women, who attended UMCOR’s health education activities in order to ascertain their feedback on the effectiveness of the pamphlet. The revision and the printing of the Family Planning pamphlet was completed during the month of November, and in December project staff distributed the pamphlets to each of the women attending UMCOR’s health education activities.

A leaflet on childhood immunization was prepared and printed, which presents the Immunization Schedule for infants and children. Copies were distributed to each family representative attending the lesson plan on Childhood Immunization. During the month of December Public Health Education Project developed another pamphlet on general nutrition: Nutrition and Your Health. Copies of this pamphlet will be distributed to families targeted by the Program.

The Men's Reproductive Health Education Program continued their activities during the last quarter. UMCOR’s male Health Education Specialists held a total of 132 Men's Groups, targeting 1,866 IDP men, during the 4th quarter and disseminated information on Family Planning, Contraceptives and Sexually Transmitted Diseases and AIDS.

As December was the final month of the project, information regarding contraceptives were distributed to beneficiaries has been provided to the government. A special advertisement was prepared and disseminated informing beneficiaries concerning the completion of the project. Beneficiaries were also provided information on state treatment sites that can be frequented beginning in January 1998 to receive these services.

4. UNHCR Meskhetian Turk Community Development Project

This project focuses on ascertaining the community needs of Meskhetian Turk communities in Azerbaijan, through the implementation of a needs assessment and the intervention of select inputs. UMCOR has implemented all activities of this project in close collaboration with the Vatan Society, UMCOR's local counterpart organization.

During the month of October, the staff complement for the project was achieved. Both of the project’s field offices in Devechi and Saatli were equipped and became operational. All senior staff from the project met once a month during the 4th quarter to discuss project implementation.

After incorporating new questions submitted by the UNHCR Field Officers, and conducting further discussions with them, project staff received approval to continue the assessment. To be certain of the new format, project staff field tested the surveys. After retraining project surveyors, they were allowed to continue their work. In November, the household surveys were completed in both the Northeast and the Southeast regions of Azerbaijan. The total number of households surveyed in the Northeast was 1,870 (9,532 people). In both regions, the total of households surveyed was 3,950(17,751 people).

The ten pilot project greenhouses were transported from ADRA/Ganje to the project warehouse in Devechi. Staff also designed and translated a contract for the greenhouse construction materials and additional implements. The greenhouses have since been distributed to identified recipients.

Approximately 350 bales of clothing (mostly sweaters) arrived in Baku designated for the Meskhetian Turk Community Development Program. Vatan was in charge of the distribution and UMCOR monitored their process and progress. Additionally, UNHCR Baku was been so kind as to donate 510 kg of soap, 510 kg of detergent, and some seeds to the most vulnerable communities. They also provided approximately 10m3 of lumber to be used as firewood. These items were distributed during the month of November. Additionally, the project has utilized UMCOR’s truck and distributed soap, detergent and clothing directly to 250 Meskhetian Turk refugee and IDP families living in the village of Navahi (Hajigabul district). The Vatan Society carried out the distribution by providing lists of beneficiaries and collecting proper signatures. The distribution of blankets, sweaters and UNHCR-donated seeds and wood in the Southeast and Northeast regions was initiated 10 December. The distribution in the Southeast region was completed by 23 December, and is ongoing in the Northeast region.

UMCOR initiated formal capacity building workshops with Vatan. UMCOR has presented the purpose of NGOs, their organizational structure, target beneficiaries, areas and sectors of operation, and funding sources. Capacity Building workshops continued in November and December covering the topics of Personnel, including the sub-topics of personnel policies, personnel files, organigrams, job descriptions, time sheets, performance reviews, and Financial Policies. Sub-topics of the Financial Policies module included security/responsibility, cash management, cash disbursements, start-up activities, and financial reporting. In addition, the topics of Information Management, Procurement and Capital Assets, Public Relations and Media, and Reporting were presented.

5. Integrated Health Care Program for IDP/RPs and Institutionalized Children in the Baku/Absheron Region

This project includes several interventions, both in the area of primary health and preventive health care. The objectives of this project include: 1) to fill a gap in a Primary Health Care (PHC) delivery to 89,103 IDP/RF population in 5 districts in Baku; 2) to improve the health status of 4,503 Institutionalized Children in the city of Baku; 3) to increase the coverage of the Expanded Program of Immunization (EPI among the 4,860 children 0-5 years old living in IDP/RP collective centers in Baku and the Absheron Peninsula, and 4,053 in Children’s Institutions (CI); 4) to distribute micro-nutrient supplement to IDP women of child bearing age residing in public buildings in the Baku/Absheron region; and 5) to promote Public Health Education among the targeted population with an emphasis on Vaccine Preventable Disease and Nutrition, and to establish a pilot Public Health Education Program with local NGO BUTA Children’s Foundation.

The Integrated Health Project was finally initiated on 10 October 1997. As the result of the delay in its implementation, the project has been cut back to 5.5 months from the originally scheduled 8 months. Since the project was intended to be implemented over an 8 month period, revisions were made to the project’s objectives to accommodate the shortened duration.

Contracts were signed with 15 doctors, trained and selected as therapists, pediatricians and medicines dispensers for the new clinics and with 2 pediatricians, who will work with institutionalized children. The new clinics opened on the following dates: Nizami clinic on October 14, Yasamal on October 16, Sabail on October 17, Khatai on October 24, and Narimanov on October 27. Project staff developed and distributed posters with information on the new clinics to IDP/RP population in all the target districts. All local authorities, including IDP/RP committees, were informed about these new clinics. A total of 9,553 patients were seen this quarter.

Statistics pertaining to the number of visits by IDPs to five project clinics during the 4th quarter is presented in table #7.

Table #7

#1

#2

#3

#4

#5

TOTAL

Average

October

436

449

73

74

271

1,303

261

November

853

829

834

821

712

4,049

810

December

739

819

904

906

833

4,201

840

Average

676

699

604

600

605

3,184

Total

2028

2097

1811

1801

1816

9,553

On the 28 November, Save the Children conducted monitoring on medicines storage and handling and on 9 December monitored two clinics in Narimanov and Khatai districts.

On 16 December a lecture was organized and conducted for clinic staff by Dr. Elmira Alieva, Technical Adviser (UMCOR UNHCR Reproductive Health Program), on different methods of family planning.

Two medical points for the project Pediatricians were organized. Site selection was based on their proximity to center of Absheron peninsula, which will guarantee that less time will be lost when visiting the 30 different Children Institutions throughout the region. The Pediatricians initiated case management, diagnosis and treatment of Institutionalized Children, using the schedule developed for regular visitation. In accordance with the schedule, each institution is visited once a week.

Two EPI officers was hired. Several meeting was held with UNICEF informing them that the project had been approved, and UMCOR’s contract with UNICEF was reviewed. No changes were made to the contract. UNICEF will provide a training consultant, immunization leaflets, cold-box and reference material. EPI officers were busy making contacts with local health organization requesting permission to visit local children polyclinic and survey questionnaires were also prepared.

A meeting with MSF-Belgium was held, and they are willing to provide an EPI consultant for our EPI staff at no cost to the project. MSF-Holland agreed to provide UMCOR with a copy of the Azerbaijani version of EPI material for the training of polyclinic doctors and nurses. UMCOR will make copies of the material for the training session to be delivered.

On 5 November the EPI survey in 12 districts of Baku and Absheron was initiated and it was learned that the population had increased significantly, as the result of the delay in the implementation of the project. Six temporary laborers were hired for the period of the survey in order to finish on time. The survey on immunization status of children under 5 years old living in IDP/RP collective centers in 12 districts of Baku and Absheron area was completed on 10 December. Results of the survey were entered into database using EpiInfo-6. The number of children surveyed in each targeted is presented below in table #8.

Table #8

District:

Number of children surveyed
Khatai

373

Sabail

150

Karadag

461

Narimanov

438

Yasamal

817

Nizami

396

Sabunchi

690

Surachani

270

Azizbecov

432

Nasimi

275

Absheron

256

Binagadi

825

TOTAL:

5383

The 32 state policlinics presented in the project proposal was not complete as Medical Institutions having pediatric departments with the immunology rooms were not included in the original list. The final list compiled by UMCOR consists of 60 Medical Institutions. In spite of this change, the project has been able to initiate EPI training sessions for state doctors and nurses as scheduled. The training was implemented at the Center of Health and Family Planning, with the support of UNICEF and Ministry of Health. All trainees were provided with WHO materials translated by MSF Holland into the Azerbaijani language.

On 10 November and 22 December 1997 Dr. Charifova Aybeniz from MSF- Belgium was invited to UMCOR to providing training session with more detail information concerning EPI and Cold Chain. She has shared her experience on providing immunization among IDP/RP children with the project’s EPI assistants.

A leaflet on Vaccine Preventable Diseases was prepared in collaboration with the UMCOR Health Education Specialist. Concerning nutrition, the decision was made to use material from International Rescue Committee (IRC), which was developed under another SCF/USAID grant. NGOs have been advised and encouraged to use other NGO educational material in order not to duplicate effort and maximize use of resources. Written permission was requested and received from the IRC Country Director regarding this matter.

BUTA was informed of the project approval and several meeting took place to discuss the budget, staffing, teaching plan and the topics that BUTA was going to cover. BUTA continues their preparatory work for the Health Education program. An assessment was done in Yasamal and Narimanov districts in order to prepare a schedule for delivering health education material. On 22 December, the first lesson plan was presented in Yasamal district. A total of 8 lessons have been delivered to a total of 130 children. The topics presented included diseases, vitamins and vaccination.

Two type of training activities were employed: drawing and shadow theater. The management and teachers in the target schools understand and fully appreciate the importance of the project’s activities in this area. The only problem for this component has been the difficulty in identifying physical space for the training sessions.

III. STATISTICAL DATA

1. Department of State Emergency Medical Assistance Project/UMCOR Clinics

Table #9 presents the age and gender of the patients visiting UMCOR clinics.

Table #9

<1

%

1-5

%

6-15

%

adults

%

Total

%

MALE

150

1.85%

1,267

15.65%

2,253

27.83%

4,425

54.66%

8,095

41.10%

FEMALE

157

1.35%

1,033

8.90%

2,473

21.31%

7,940

68.43%

11,603

58.90%

TOTAL VISITS

307

1.56%

2,300

11.68%

4,726

23.99%

12,365

62.77%

19,698

100.00%

Table #10 presents the most prevalent diseases among UMCOR patients.

Table #10

DISEASEOCTOBERNOVEMBERDECEMBER
Anemia

6.2%

6.0%

5.2%

Malnutr/Vit.Deficiency

4.8%

5.6%

4.3%

Common Cold

4.3%

5.8%

8.1%

Tonsillitis

3.3%

4.4%

5.9%

Bronchitis/Pneumonia

5.3%

4.6%

3.8%

Asthma

0.9%

1.1%

0.8%

Diarrhea

1.4%

0.9%

0.8%

Impetigo

2.7%

2.9%

2.7%

Scabies

5.9%

8.0%

8.4%

Worms

10.4%

10.6%

9.2%

Hypertension

5.1%

5.2%

6.3%

Stenocardia/Arrhytmia

2.4%

2.5%

2.6%

Nephritis

1.6%

1.4%

1.2%

Cystitis/Urethritis

2.4%

2.4%

2.2%

Mental Disorders

2.7%

2.5%

1.2%

 

2. USAID/SCF Primary Health Care Support/7 ECHO Camps; Health Education Project, Baku/Absheron Region

Table #11 and pie chart reflect the age and sex structure of the patients visiting camp medical points, supported by UMCOR.

Table #11

<1

%

1-5

%

6-15

%

adults

%

Total

%
MALE

168

2.71%

651

10.52%

942

15.22%

4,429

71.55%

6190

48.74%

FEMALE

122

1.87%

598

9.19%

802

12.32%

4,988

76.62%

6510

51.26%

TOTAL VISITS

290

2.28%

1,249

9.83%

1,744

13.73%

9,417

74.15%

12700

100.00%

The data on the most common diseases found by the ECHO camp medical point physicians supervised by UMCOR, for the period 1 October - 31 December 1997 is provided in table #12 on the next page.

Table #12

<1

1-5

6-15

adults

TOTAL

Abs.

%

Abs.

%

Abs.

%

Abs.

%

Abs.

%

Malnut/Vit.Def.

4

2.50%

32

20.40%

121

77.10%

157

0.80%

Bronchitis/Pne

35

9.10%

138

11.70%

150

12.70%

854

72.60%

1,177

5.80%

Asthma

4

1.70%

7

2.90%

227

95.40%

238

1.20%

Scabies

3

0.80%

67

6.30%

177

16.60%

818

76.80%

1,065

5.30%

Worms

4

0.40%

189

17.80%

311

29.30%

559

52.60%

1,063

5.30%

Total

386

1.90%

1,716

8.50%

2,657

13.20%

1,5407

76.40%

20,166

100%

 

MORBIDITY STATISTICS (UNHCR)

October, November, December, 1997

October, November, December

12-14

15-44

>45

total

new

%

%total

old

%

%total

new

%

%total

old

%

%total

new

%

%total

old

%

%total

new

%

old

%

total

%

FEMALE

14

1.21%

0.42%

11

0.51%

0.33%

1,084

93.4%

32.6%

2037

94.2%

61.3%

63

5.4%

1.9%

115

5.3%

3.5%

1161

34.9%

2163

65.1%

3324

100%

SCREENING

2

1.1%

0.06%

3

0.40%

0.09%

175

96.2%

5.26%

732

97.0%

22.0%

5

2.7%

0.15%

20

2.6%

0.60%

182

19.4%

755

80.6%

937

28.2%

Referral to WCC

25

80.6%

0.8%

37

97.4%

1.11%

6

19.35%

0.18%

1

2.63%

0.03%

31

45%

38

55%

69

2.1%

Referral to hospital

1

6%

0.03%

13

76.5%

0.4%

24

80%

0.72%

3

17.65%

0.09%

6

20%

0.18%

17

36.17%

30

63.83%

47

1.4%

ANAEMIA

1

0.6%

0.021%

1

0.51%

0.021%

162

98%

3.5%

186

94%

4.0%

2

1.2%

0.0%

11

5.6%

0.24%

165

45.5%

198

54.5%

363

7.80%

MALNUTR/ VIT. DEFIC

10

7.0%

0.21%

2

1.06%

0.043%

124

87%

2.7%

180

95%

3.9%

9

6.3%

0.19%

7

3.7%

0.15%

143

43.1%

189

56.9%

332

7.14%

Vaginal discharge

3

2.1%

0.06%

1

0.63%

0.021%

134

92%

2.9%

151

96%

3.2%

8

5.5%

0.17%

6

3.8%

0.1%

145

47.9%

158

52.1%

303

6.51%

Urethra discharge

1

100%

0.021%

1

100%

1

0.02%

Cervicitis, cervical eros

120

95%

2.6%

158

96%

3.4%

6

4.8%

0.13%

7

4.2%

0.15%

126

43.3%

165

56.7%

291

6.25%

Vaginitis (colpitis)

6

1.27%

0.13%

3

0.55%

0.064%

450

95%

9.7%

519

95%

11.2%

17

3.6%

0.37%

26

4.7%

0.56%

473

46.3%

548

53.7%

1021

21.94%

Adnexitis, oophoritis

3

0.96%

0.064%

251

92%

5.4%

288

92%

6.2%

22

8.1%

0.473%

22

7.0%

0.47%

273

46.6%

313

53.4%

586

12.59%

Genitalia ulcer

1

0.02%

2

100%

0.043%

1

33.3%

2

66.7%

3

0.06%

Amenorrhea

2

4.9%

0.043%

14

100%

0.30%

37

90%

0.80%

2

4.9%

0.04%

14

25.5%

41

74.5%

55

1.18%

Vaginal candidiasis

2

0.76%

0.043%

146

83.0%

3.14%

241

92%

5.18%

30

17.0%

0.64%

19

7.3%

0.41%

176

40.2%

262

59.8%

438

9.41%

Metrorrhagia

1

5.3%

0.02%

16

84.2%

0.34%

36

86%

0.8%

2

10.5%

0.04%

6

14.3%

0.13%

19

31.1%

42

68.9%

61

1.31%

Menstr / menstrual pain

5

10%

0.11%

1

2.0%

0.02%

44

88.0%

0.95%

46

92%

0.989%

1

2.0%

0.02%

3

6.0%

0.064%

50

50.0%

50

50%

100

2.15%

Endometritis

43

91.5%

0.92%

57

100%

1.23%

4

8.5%

0.09%

47

45.2%

57

54.8%

104

2.24%

Mastitis
Mastopathy

11

100%

0.24%

14

100%

0.30%

11

44.0%

14

56%

25

0.54%

Pregnancy

144

99%

3.09%

207

99.0%

4.45%

1

0.7%

0.0%

2

1.0%

0.043%

145

41.0%

209

59%

354

7.61%

Toxicosis of pregnancy

1

100%

0.02%

12

100%

0.26%

1

7.7%

12

92.3%

13

0.3%

Infertility

16

94%

0.34%

6

100%

0.13%

1

5.9%

0.02%

17

73.9%

6

26.1%

23

0.5%

Pregnancy tests

89

96%

1.91%

193

98%

4.15%

4

4.3%

0.086%

4

2.0%

0.1%

93

32%

197

67.9%

290

6.23%

OTHER

110

87%

2.36%

150

91.5%

3.22%

16

12.7%

0.3%

14

8.54%

0.30%

126

43.4%

164

56.6%

290

6.2%

TOTAL

26

1.28%

0.56%

15

0.57%

0.32%

1876

92.6%

40.3%

2484

94.5%

53.4%

123

6.1%

2.6%

129

4.91%

2.77%

2025

43.52%

2628

56.5%

4653

100%

per oral

1

0.18%

0.1%

239

98.0%

20.6%

546

99%

46.9%

5

2.0%

0.43%

4

0.73%

0.34%

244

30.7%

551

69.3%

795

68.4%

CONTRA- injection

36

100%

3.1%

82

99%

7.1%

1

1.20%

0.09%

36

30.3%

83

69.7%

119

10.2%

CEPTIVES intrauterine

3

1.5%

0.3%

51

98%

4.4%

192

97%

16.5%

1

1.9%

0.09%

2

1.02%

0.17%

52

20.9%

197

79.1%

249

21.4%

TOTAL

4

0.5%

0.34%

326

98.2%

28.0%

820

99%

70.5%

6

1.8%

0.52%

7

0.84%

0.60%

332

28.5%

831

71.5%

1163

100%



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